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(4) the department has documentation that indicates that the individual

(A) is unable or unwilling to meet the certification requirements of this section or any other Medicaid requirement under 7 AAC 105 — 7 AAC 160; or

(B) creates a risk to the health, safety, or welfare of a recipient; or

(5) the individual has two consecutive probationary certification periods under (c)(1) of this section and is still not compliant to the department’s satisfaction. (f) A care coordinator may appeal, under 7 AAC 105.460, a decision by the department to

(1) deny the care coordinator’s application for certification, to renew certification, or for re-enrollment; or

(2) decertify the care coordinator. (Eff. 7/1/2013, Register 206; am 7/1/2015, Register 214; am 10/1/2018, Register 227; am 10/16/2022, Register 244) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 130.240. Care coordination services. (a) The department will pay for care coordination services that are

(1) provided in accordance with 7 AAC 130.217 and 7 AAC 130.218 and the department’s Care Coordination Services and Long Term Services and Supports Targeted Case Management Conditions of Participation, adopted by reference in 7 AAC 160.900; and

(2) approved in the recipient’s support plan

(A) developed under 7 AAC 128.010, for long term services and supports targeted case management; or

(B) developed under the provisions of 7 AAC 130.217 and 7 AAC 130.218 for a support plan. (b) The department will pay a monthly care coordination service rate, established in accordance with 7 AAC 145.520, if the care coordinator,